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儿童赖歇尔综合征：一例报告

Reichel Syndrome in Children: A Case Report.

作者信息

Ferjani Hanene Lassoued, Bettaib Hiba, Dorra Ben Nessib, Maatallah Kaouther, Jenzri Mourad, Hamdi Wafa

机构信息

Departamento de Reumatologia, Kassab Orthopedics Institute, Ksar Saïd, Tunísia.

Unidade de pesquisa UR17SP04, 2010, Ksar Said 2010, Tunis, Tunísia.

出版信息

Rev Bras Ortop (Sao Paulo). 2024 Dec 27;59(Suppl 2):e212-e215. doi: 10.1055/s-0044-1779511. eCollection 2024 Nov.

DOI:10.1055/s-0044-1779511
PMID:39735475
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11679629/
Abstract

Reichel syndrome or primary synovial chondromatosis (PSC) is an uncommon benign metaplastic condition that usually affects large joints. Though shoulder involvement was scarce, there are only a few cases in the pediatric population. A 14- year-old boy was admitted to the Pediatric Orthopedics department with right shoulder pain for 14 months. Imaging revealed multiple loose bodies distributed throughout the glenohumeral joint. Upon the arthroscopic approach, we remove all cartilaginous nodules within the glenohumeral space and abarticular tendon. Histopathologic examination confirmed the diagnosis of primary synovial chondromatosis. At follow-up, the patient remains free of symptoms, and shoulder radiographs showed no recurrence of calcification. The present case illustrates the clinical patterns, imaging features, histological findings, and therapeutic management of shoulder primary synovial chondromatosis in a pediatric patient.

摘要

赖歇尔综合征或原发性滑膜软骨瘤病（PSC）是一种罕见的良性化生疾病，通常累及大关节。虽然肩部受累情况较少见，但儿科人群中仅有少数病例。一名14岁男孩因右肩疼痛14个月入住小儿骨科。影像学检查显示整个盂肱关节内有多个游离体。通过关节镜手术，我们清除了盂肱间隙和关节外肌腱内的所有软骨结节。组织病理学检查确诊为原发性滑膜软骨瘤病。随访时，患者无症状，肩部X线片显示无钙化复发。本病例说明了小儿患者肩部原发性滑膜软骨瘤病的临床模式、影像学特征、组织学表现及治疗处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea67/11679629/b25820e3bbd1/10-1055-s-0044-1779511-i2200227pt-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea67/11679629/2b62df56080d/10-1055-s-0044-1779511-i2200227en-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea67/11679629/03e8e6bb1e63/10-1055-s-0044-1779511-i2200227en-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea67/11679629/8a6e2082dc11/10-1055-s-0044-1779511-i2200227en-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea67/11679629/c5277322e67e/10-1055-s-0044-1779511-i2200227pt-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea67/11679629/fa945ac4ae73/10-1055-s-0044-1779511-i2200227pt-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea67/11679629/b25820e3bbd1/10-1055-s-0044-1779511-i2200227pt-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea67/11679629/2b62df56080d/10-1055-s-0044-1779511-i2200227en-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea67/11679629/03e8e6bb1e63/10-1055-s-0044-1779511-i2200227en-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea67/11679629/8a6e2082dc11/10-1055-s-0044-1779511-i2200227en-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea67/11679629/c5277322e67e/10-1055-s-0044-1779511-i2200227pt-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea67/11679629/fa945ac4ae73/10-1055-s-0044-1779511-i2200227pt-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ea67/11679629/b25820e3bbd1/10-1055-s-0044-1779511-i2200227pt-3.jpg

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本文引用的文献

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Clinical Results of Surgical Resection and Histopathological Evaluation of Synovial Chondromatosis in the Shoulder: A Retrospective Study and Literature Review.关节镜下滑膜切除术治疗肩袖滑膜软骨瘤病的临床疗效分析:一项回顾性研究和文献复习
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J Clin Orthop Trauma. 2020 Mar-Apr;11(2):317-320. doi: 10.1016/j.jcot.2019.12.005. Epub 2019 Dec 14.
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Arthroscopic removal of loose bodies in synovial chondromatosis of shoulder joint, unusual location of rare disease: A case report and literature review.
关节镜下切除肩关节滑膜软骨瘤病中的游离体，罕见疾病的不寻常部位：一例报告及文献复习
Ann Med Surg (Lond). 2018 Dec 5;37:25-29. doi: 10.1016/j.amsu.2018.11.016. eCollection 2019 Jan.
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